Radical surgery for a mitral valve intimal sarcoma: serial patch repair of the annulus and atrium

Abstract We report the rare case of a 48-year-old woman with a cardiac intimal sarcoma occupying the mitral valve and the left atrial roof. We resected the tumour in one block without residual lesions. The anterior mitral annulus and left atrial roof were serially repaired with the bovine pericardiu...

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Bibliographic Details
Published in:Interactive cardiovascular and thoracic surgery 2022-07, Vol.35 (2)
Main Authors: Matsuzaki, Kanji, Mitomi, Kisato, Imai, Akito, Watanabe, Yasunori
Format: Article
Language:English
Subjects:
Case Report
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Summary:Abstract We report the rare case of a 48-year-old woman with a cardiac intimal sarcoma occupying the mitral valve and the left atrial roof. We resected the tumour in one block without residual lesions. The anterior mitral annulus and left atrial roof were serially repaired with the bovine pericardium, and a mechanical prosthesis was implanted in the reconstructed mitral annulus. The patient remains alive without recurrence for more than 1 and a half years postoperatively. We performed radical surgery for a mitral valve intimal sarcoma, and serial patch repair of the anterior mitral annulus and left atrial roof was a useful technique. Primary cardiac sarcomas are markedly rare (autopsy incidence of 0.001–0.03%) and the prognoses are very poor [1].
ISSN:1569-9293
1569-9285
DOI:10.1093/icvts/ivac081